- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation ... high levels of healthcare quality and acceptable levels of cost. The Physician Advisor position will conduct clinical reviews on cases referred by case… more
- CommonSpirit Health (Houston, TX)
- …and you must be licensed in the state of Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case ... state of Texas required. + Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5 years of clinical practice required. + Experience… more
- Houston Methodist (The Woodlands, TX)
- …appropriate, by analyzing clinical protocols. + Escalates appropriate cases to the Physician Advisor (or services) for appropriate second level review, peer-peer ... discussions, and payer denial- appeal needs. Consults with physician advisor as necessary to resolve progression-of-care barriers through appropriate… more
- Houston Methodist (The Woodlands, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to… more
- CVS Health (Austin, TX)
- …with managed care, as a provider and manager of care utilization review or physician advisor experience. **Education** * Active and current state medical license ... efficiency involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the management of… more
- Sedgwick (Irving, TX)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Sedgwick (Irving, TX)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, etc.) to determine if the… more
- Houston Methodist (Houston, TX)
- …the external case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need ... improvements, patient satisfaction). **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional health care team to… more
- HCA Healthcare (San Antonio, TX)
- …care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. **What qualifications you will need:** Education: Graduate ... of an accredited diploma, associates, or baccalaureate degree nursing program. Experience: Minimum of 3 years clinical experience in area in which Case Management will be performed. Employee completes initial and ongoing training and competencies as defined by… more
- HCA Healthcare (San Antonio, TX)
- …of care with physician . Refers cases not meeting acute care criteria to Physician Advisor as needed. + Facilitates and or provides education of hospital ... staff, physicians, patients and caregivers for purposes of efficient resource utilization + Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting. + Tracks resource statistics to identify… more
- HCA Healthcare (Houston, TX)
- …Staff with referral of all cases in question to the Utilization Management Physician Advisor . + Communicates with third party payers regarding extended stays ... for approval. + Coordinates Discharge Planning meetings with nursing and ancillary staff on individual nursing units to promote ongoing review of patient care activities related to provision of services, patterns of care, and utilization of resources. +… more
- CVS Health (Austin, TX)
- …- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred ... Qualifications:** -Health plan/payor Utilization Management / Review experience -Electronic medical systems/record experience -Managed Care experience -Medicaid experience **Education:** -M.D. or DO, Board Certification in ABMS or AOA recognized specialty… more
- HCA Healthcare (Houston, TX)
- …you want to join an organization that invests in you as a Patient Customer Advisor ? At HCA Florida Ocala Hospital, you come first. HCA Healthcare has committed up to ... the opportunity to make a difference. We are looking for a dedicated Patient Customer Advisor like you to be a part of our team. **Job Summary and Qualifications**… more
- HCA Healthcare (San Antonio, TX)
- …want to join an organization that invests in you as a Bilingual Patient Customer Advisor ? At Parallon you come first. HCA Healthcare has committed up to $300 million ... have the opportunity to make a difference. We are looking for a dedicated Customer Advisor like you to be a part of our team. **Job Summary and Qualifications**… more
- Huntington National Bank (Addison, TX)
- Description Job Summary: As a Treasury Management Advisor III - Corporate Healthcare, you will play a pivotal role in driving the growth and success of our treasury ... negotiation, and implementation. In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance and strategic advice on… more
- NTT DATA North America (Dallas, TX)
- …and forward-thinking organization, apply now. We are currently seeking a Strategic Advisor - Technical Solutions - Healthcare Provider Vertical (REMOTE Role) to join ... have knowledge of Provider domains s such as Patient Engagement & Physician Experience Transformation, Provider Data, Analytics & Interoperability, EPIC (or any… more
- Houston Methodist (Houston, TX)
- …role will be supporting the southern region of the Houston Methodist Physician 's Organization, primarily serving physicians and clinic employees connected to or ... support for workplace teams and or individuals. + Serves as spiritual advisor and I CARE consultant for executive assembly, entity standing committees, department,… more
- Cardinal Health (Austin, TX)
- …payors. The VP of Revenue and Payor Operations will be a seasoned leader and advisor , with proven experience in the Oncology physician office space. They will be ... Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and… more
- MD Anderson Cancer Center (Houston, TX)
- …Must be able to perform invasive procedures as dictated by the physician 's subspecialty. This may require standing, bending, stooping, lifting, hearing, manual ... for patients referred to M. D. Anderson Cancer Center. a. Provide physician staffing for inpatient and outpatient clinical services in Sarcoma Medical Oncology… more
- MD Anderson Cancer Center (Houston, TX)
- …and faculty for real-world clinical scenarios. * Serves as a key clinical advisor and partner for clinical education. * Supports integration of medical and advanced ... for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant or Pharm.D. degree Accredited college of pharmacy. Preferred: Doctoral… more